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    NURS_533-01_SU25 Pediatric Final Proctored Exam

    A HIV+ mother is presenting to the primary care office with her newborn. She wants more information about breastfeeding her child, which of the following responses from the nurse BEST answers the mother's question?

    Explanation & Rationale

    Rationale: A. You cannot breastfeed your child, let me provide you with formula options: While avoiding breastfeeding has been a traditional recommendation to prevent HIV transmission, with effective antiretroviral therapy (ART), breastfeeding can be safer. B. Breastfeeding is possible and you really only need to test the infant once after you begin to ensure HIV was not transmitted to the child: Single testing is insufficient because the infant needs frequent monitoring to detect possible HIV transmission early. Multiple tests over time are required to ensure infant safety. C. Breastfeeding is possible if you are taking your ART and we frequently test you and your baby for HIV RNA: Maternal adherence to ART significantly reduces transmission risk, and frequent testing of both mother and infant helps monitor and manage any potential transmission early. D. You can breastfeed your child but it will be very stressful and high risk. Please consider formula: While acknowledging potential stress, this unnecessarily increases anxiety without offering balanced, evidence-based information.

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